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Authors

Gwanwook, Bang

Another Title

장애인 대상 환자중심적 의료서비스 프로그램: 주제범위 문헌 고찰

Issue Date

2024-06

Publisher

대한의료커뮤니케이션학회

Author Keywords

care model ; disabilities ; patient(family)-centered approach ; shared-decision making

Citation

논문 의료커뮤니케이션, v.19, no.1, pp.In Press-

Journal Title

의료커뮤니케이션

Volume

19

Number

1

Start Page

In Press

ISSN

1975-888X

Abstract

Purpose This study aimed to understand the current state of patient-centered care for people with disabilities by reviewing the key definitions, elements, and aspects of previously published care models/programs that borrow a patient-centered approach using a scoping review methodology. Methods Following Arksey and O'Malley's five-step methodology, we conducted a keyword search in EMBASE, Web of Science, and Pubmed for articles published from 2000 to January 2022, and a total of 30 articles were selected from 1,305 initially extracted articles. Results A total of 13 studies developed models of care for people with disabilities based on the concept of patient-centeredness, 11 studies developed and evaluated care programs with patient-centered components, and 6 studies prospectively evaluated the effectiveness of patient-centered programs in clinical trials. The studies were generally based on multidisciplinary teams and emphasized two-way communication, collaborative relationships, multidimensional assessment, and measurement of patient needs. However, elements of patient-centeredness varied across studies, and methodologies for measuring needs and evaluating effectiveness were inconsistent. Conclusions Based on this study, there is a need for systematic research to identify integrated and desirable patient-centeredness elements in healthcare models/programs for people with disabilities. This will enable the development of more patient-centered and friendly healthcare services for people with disabilities.